Individual
CHANECE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMLP
Contact information
Practice address
3205 CLINTON PARKWAY CT, LAWRENCE, KS 66047-2627
(785) 843-5483
Mailing address
130 E 5TH ST, NEWTON, KS 67114-2206
(316) 283-6743
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
03124
KS
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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